| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
7,520 |
7,459 |
$272K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,704 |
5,690 |
$202K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,388 |
2,371 |
$144K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,156 |
2,135 |
$72K |
| 92225 |
|
803 |
803 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,381 |
1,370 |
$34K |
| 92015 |
Determination of refractive state |
6,211 |
6,200 |
$23K |
| 92100 |
|
176 |
176 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
202 |
202 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |
| 2023F |
|
276 |
269 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
44 |
44 |
$0.00 |